@aneeshchoprawww.navhealth.com

FHIR API ~ 2016 is the Year to Participate

David Van Sickle collaborates with Mayor Fisher (Louisville) to micro-target air quality improvement opportunities; patient inhaler GPS data

informs action to lower particulate matter 10%; results in 27% reduction in asthma risk area

Three Trends “Fueling” Care Delivery ReformOpen Data + Interoperable Health IT + Payment Reform = Active Ingredients

Source: Microstrategy, RxREVU, HHS

CJR Bundle Data Services

#Telemedicine Services

#Integrated EHR Data #SNF/HH Assessments

#PRO Survey (~$75/case)

#Home Monitoring (~$1k/case)

#CMS Claims Data

Source: http://www.voanews.com/content/nih-taking-first-steps-to-huge-precision-medicine-project/3207453.html; https://www.whitehouse.gov/the-press-office/2016/02/25/remarks-president-precision-medicine-panel-discussion

I’m going to hijack this just for one second…so often what we label as a health care system is actually more of a disease-care system in which the patient is passive...one of the promises of precision medicine is empowering individuals to monitor and take a more active role in their own health...If we do precision

medicine well, and we get that…data to consumers, it gives them the ability to stay healthy for long periods of time. Sorry to interrupt.” – President Obama (February 25, 2016)

President Obama Drops the Mic…for Patients

What is Health Information Exchange? A PortfolioBut Open APIs for Pt-Designated Apps Required Under CEHRT/MU/MACRA

Source: https://www.healthit.gov/providers-professionals/health-information-exchange/what-hie; https://www.federalregister.gov/articles/2015/10/16/2015-25595/medicare-and-medicaid-programs-electronic-health-record-incentive-program-stage-3-and-modifications#p-1518

“The EP, eligible hospital, or CAH provides access for patients to view online, download, and transmit their health information, or retrieve their health information through an API, within 24 hours of its

availability…[patient data must be] available for the patient (orpatient authorized representative) to access using any application of their choice that is

configured to meet the technical specifications of the API in the provider's CEHRT.”

Argonaut FHIR API an Open Developer ResourceImplementation Program Encourages Feedback Loops for Improvement

Source: argonautproject.org; smartplatforms.org; https://github.com/argonautproject/implementation-program/wiki

“The purpose of the Argonaut Project is to rapidly develop a first-generation FHIR-based API and Core

Data Services specification to enable expanded information sharing for electronic health records” –

Epic, Cerner, MEDITECH, athena, Advisory Board, Surescripts, Accenture as Sponsors

Source: NavHealth

“When will our HIE connect to…the Church?”Re-Building the Data Model from Patient “In”

A Dashboard for Church Health

“I can see group data (for example: 28 of 59 people at church X have had a high reading in the last

year), but no individual data or any of the names of congregants.”

– Dr. Thomas Cannell (NYC Health Dept)

Source: http://chreader.org/dashboard-church-health/

Leadership Opportunities for Pioneers#1: Precision Medicine Initiative – “Sync for Science”

Source: http://syncfor.science

Leadership Opportunities for Pioneers#2: Accountable Health Communities – Beneficiary Data Access

Source: https://blog.cms.gov/2016/01/11/can-helping-patients-social-needs-also-be-good-for-their-health/

Leadership Opportunities for Pioneers#3: Million Hearts Innovation Model – Shared Decision Making

Source: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM/

Standardizing Procurement Language for APIsONC-Funded “SMART on FHIR” R&D Collaborative Publishes Best Practice

Source: http://smarthealthit.org/2014/10/rfp-language-for-buying-smart-compatible-hit/

#GetMyHealthData Preview: Must Shift Culture“Patients have the right...if they ask correctly.”

Source: http://www.wellstar.org/patient-visitor-information/pages/request-medical-records.aspx